Michigan Infusion and Licensed Healthcare
NPI 1164153367 · Physician Assistant · Plymouth, MI
Michigan Infusion and Licensed Healthcare is a Physician Assistant organization in Plymouth, MI (NPI 1164153367).
Provider details
- NPI number
- 1164153367
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kelly Long, Owner/Manager(734) 341-7767
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-06-20
- Last updated
- 2022-06-20
- Certified
- 2022-06-20
Frequently asked questions
- What is Michigan Infusion and Licensed Healthcare's NPI number?
- Michigan Infusion and Licensed Healthcare's National Provider Identifier (NPI) is 1164153367, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michigan Infusion and Licensed Healthcare?
- Michigan Infusion and Licensed Healthcare is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Michigan Infusion and Licensed Healthcare located?
- Michigan Infusion and Licensed Healthcare's practice location on file with NPPES is 500 Ross St, Plymouth, MI 48170-2206.
- What is Michigan Infusion and Licensed Healthcare's phone number?
- The practice phone number listed in the NPPES registry for Michigan Infusion and Licensed Healthcare is (734) 341-7767.
- Who is the authorized official for Michigan Infusion and Licensed Healthcare?
- The authorized official listed on Michigan Infusion and Licensed Healthcare's NPPES record is Kelly Long, Owner/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michigan Infusion and Licensed Healthcare's NPI active?
- Yes — Michigan Infusion and Licensed Healthcare's NPI (1164153367) is active in the NPPES registry as of the last update on 2022-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.